Individual provider Active NPI

Melanie Duncan, LPC, CSAC

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1336563907
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5850-125 Issued in WI
Practice address
333 W Brown Deer Rd # G-745
Milwaukee, WI 53217-2372
Phone
(262) 261-3820
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17091-130 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16321-132 WI
Mental Health Counselor 101YM0800X 5850-125 WI Primary

Addresses

Primary practice location

333 W Brown Deer Rd # G-745
Milwaukee, WI 53217-2372

Mailing address

333 W Brown Deer Rd # G-745
Milwaukee, WI 53217-2372
Phone (262) 261-3820

Other practice location 1

711 W Capitol Dr
Milwaukee, WI 53206-3336
Phone (414) 374-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16321-132WIMDAddiction (Substance Use Disorder) Counselor
17091-130WIMDAddiction (Substance Use Disorder) Counselor
5850-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Making Strides Behavioral Health Services CurrentSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1336563907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BROWN DEER RD # G-745",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172372",
            "telephone_number": "262-261-3820",
            "fax_number": "414-228-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BROWN DEER RD # G-745",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172372",
            "telephone_number": "262-261-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532063336",
            "country_code": "US",
            "telephone_number": "414-374-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MELANIE",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17091-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16321-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5850-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.